Complaints

This profile includes complaints for Coastal Orthopedics & Sports Medicine of Southwest Florida, P.A.'s headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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Coastal Orthopedics & Sports Medicine of Southwest Florida, P.A. has 3 locations, listed below.

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  Coastal Orthopedics & Sports Medicine of Southwest Florida, P.A.

  8000 SR 64 East Bradenton, FL 34212

  
• 

  Coastal Orthopedics & Sports Medicine of Southwest Florida, P.A.

  8340 Lakewood Ranch Blvd Lakewood Ranch, FL 34202-5180

  
• 

  Coastal Orthopedics & Sports Medicine of Southwest Florida, P.A.

  6202 17th Ave West Bradenton, FL 34209

  

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:11/22/2024

  Type:Billing Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  In late July, I had an MRI done and was charged the full cost of the procedure. Subsequently, Aetna covered most of the cost of the **** This resulted in my account having a credit of $347.88. I've reached out to their third party billing company multiple times since early September requesting this balance be refunded to me. Today I reached out again, spoke to the escalations department, who informed me they have reached out to Coastal 6 times requesting an update on my account and have not had a reply. I've also tried reaching out to Coastal directly and not received a call back. It's ridiculous that I need to spend time chasing this around and that they do not even communicate with their own third party ******. Based on my communications with the billing company, I'm not the only one experiencing these issues.

  

  Business Response

  Date: 11/22/2024

  One of our billing liaisons called Mr. ******* today and was able to refund the credit back to his credit card and sent an email to confirm the refund.  This should be resolved. 

  Customer Answer

  Date: 11/28/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  ****** *******

• Initial Complaint

  Date:07/31/2024

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  On 10/31/2023 my husband, ***************************, saw Memory *****. I paid $50 co-pay before he saw Memory. On 12/19/2023 my husband, *******, again saw *****************. Again, I paid $50 co-pay before he saw Memory. He had already met his maximum out of pocket amount with Florida Blue. Therefore, Coastal Orthopedics owes $100. I have called in December, January and February to request this refund of $100. Each time I am told it is being reviewed. The last time after speaking with *** at Coastal, I called the insurance company and they called *** at Coastal and told them the patient had zero liability for visits on 10/31/23 and 12/29/23. The refund has still not arrived. My husband passed away on 7/17/24 and I would like to get this matter taken care of now. Thank you.

  

  Business Response

  Date: 08/05/2024

  We have contacted ***************************** and processed the refund for overpayment.  This should be resolved.  

  Customer Answer

  Date: 08/08/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  *****************************

• Initial Complaint

  Date:06/12/2024

  Type:Order Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  My wife had a surgery they made me pay my copay up front I did ****** .After my insurance came back my portion was ****** .they won't pay back the other ******

  

  Business Response

  Date: 06/12/2024

  We have reached out to the patient and are working on refunding the credit on his account.  A portion of the refund has been applied that was from billing from the clinic side of our business, and the portion of the refund from our surgery center credit balance is in process.  

   

  Thank you. 

• Initial Complaint

  Date:04/22/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I paid Coastal Orthopedics $328.57 on 04/23/2023 and although I have a receipt from them for this amount, and also a receipt from **************** for this amount, as of today, I am unable to get this payment posted to my account. I have submitted proof of payment multiple times, with the last time being a direct fax to "******" at ************ which she has acknowledged receiving during a phone call with her on 10/13/2023, yet the payment still remains "past due" on the latest statement from Coastal Orthopedics dated 03/28/24. I have contacted this company repeatedly since 10/13/2023 and have been told each time that the payment will be posted "soon". As it is approaching a full year since I paid this balance, I would like to get this resolved as son as possible so that it is not showing up as delinquent on my credit.

  

  Business Response

  Date: 05/06/2024

  Thank you for your correspondence.  Our billing manager ****** has looked into this and left a voicemail for ****.  The payment was made through our private pay portal through a third party called Health Here.  For some reason it had not posted from Health Here into his account with *********************************************- we have put in a ticket with  Health Here to troubleshoot and in the meantime have manually posted the payment.  

• Initial Complaint

  Date:02/19/2024

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am owed $15.00 by Coastal Orthopedics Bradenton, FL, and have been unable to get my refund despite numerous calls to Coastal and assurances that I would be sent a refund check. I had an appt in July 2023. There was a $15.00 co-pay. I tried to pay on-line and the site gave me an error message that said the transaction could not be processed. So I sent a check #**** dated 7-25-23 for $15. Then I found out the online payment had been processed, so I paid the co-pay twice. I am not uploading supporting documentation because Coastal does not dispute any of this. They acknowledge I have a $`15 credit balance. My account is #****************** cannot get Coastal to refund me my money. My most recent call to Coastal was 10-25-23. I spoke with **** (very nice). who spoke to the ***************** (on my behalf while I was on hold). They told him they are "working on it" (i.e. my refund check) He asked to have it "expedited" (his word). I had been previously told by other **************** that the ***************** was "working on it". At this point I would like the BBB to please help me get my refund. Thank you.

  

  Business Response

  Date: 02/23/2024

  Our billing office manager reviewed the case and she is due a $15 refund.  They have reached out to the individual to let them know and make arrangements for the refund.  Please feel free to call our billing office at any time if there are further questions.  Please accept our apology for any inconvenience this may have caused.

   

  Thank you, /****

   

  Customer Answer

  Date: 02/23/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  *************************

• Initial Complaint

  Date:01/03/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Subject: Formal Complaint against Coastal Orthopedics - Billing Irregularities and Lack of Resolution Dear BBB,I am writing to file a formal complaint against Coastal Orthopedics regarding unresolved billing issues and a lack of satisfactory resolution attempts.On January 14, 2023, I sought medical attention following a minor car accident from a doctor who has since retired in January 2023. Despite consistently making payments, I have been receiving monthly bills indicating outstanding balances. Notably, the billed amounts do not align with the figures on my insurance payment log; they consistently vary.My attempts to address this matter with Coastal Orthopedics' billing department have been met with frustration. The staff struggles to retrieve account information during each interaction, often concluding that I either have no outstanding balance or that an oversight occurred. This recurring issue has caused significant inconvenience and distress.Upon sharing my experience on Yelp, I discovered that I am not alone in facing multiple billing problems with Coastal Orthopedics. It appears to be a systemic issue affecting several individuals.In light of these challenges, I intend to escalate this matter by filing a formal complaint with the Better Business Bureau (BBB) and the ********************************************************).I kindly request your assistance in investigating and resolving this matter promptly. Additionally, I urge you to address the systemic billing irregularities within Coastal Orthopedics to prevent further grievances for patients.Thank you for your attention to this matter. I look forward to a swift and satisfactory resolution.Sincerely,*************************************

  

  Business Response

  Date: 01/30/2024

  Thank you for the opportunity to respond to this situation.  Unlike other businesses in which services are paid for at the time of delivery, medical practices are tasked with a myriad of processes that include obtaining authorization for services, providing documentation, and providing care and medical items all prior to receiving payment for the care being provided.  There are hundreds of insurance policies that carry equally varied benefits and patient responsibility requirements.  Our practice works every day to provide patients with exceptional care while assisting them with navigating through these varied coverages.
  
  There are 2 situations with this case.  One for DC and the other for a son.  DC received care at our offices 5 times between December of 2022 through March of 2023.  One of the reasons someone would experience receiving different numbers when checking on their account is related to the insurance carrier adjudicating the claims for each visit individually and taking adjustments as they get around to reviewing the services and their allowable amounts for those services.  Our billing office repeatedly attempted to contact the patients insurance with no responses.  Since this individual had no personal health insurance and repeated attempts to contact the auto insurance were not returned, the billing department switched the account to patient responsibility.  Statements were sent to the patient on 03/20/23 a second statement was sent on 09/28/23.  On 11/16/23, we finally received an explanation of benefits and payments for all the dates of service (nearly 1 year later).  Once the insurance carrier fully reviews the claim, most of those policies include a portion of the bill that is required that the patient accepts the responsibility to cover themselves (co-pay or deductible amounts).  On 11/23/23 a statement for $475.40 was sent that was for the fees that are the patients responsibility.   This amount is correct based on the insurance company who processed her claims and reported to us this amount as the patient's responsibility.
  
  The son, GC, was treated for a fracture.  Since the patient did not have insurance, they were informed of the cost associated with the expected care for which payment was received from the family.  Although the charges that were billed are completely legitimate, we were unable to confirm what was relayed to the patient, so we have decided to zero out this account and no further payments are due on this chart for this episode of care provided.
  
  We do understand that dealing with insurance carriers and the many variations of coverage and processes can be quite daunting.  We have attempted, even since receiving this complaint, to call DC to explain the billing in detail, we have not received a return call.  As you can see with this case, some insurance carriers can drag out adjudicating the claim and paying for the services over extended periods (in this case it was up to a year). 
  
  Our practice operates with only the highest level of care to our patients as well as following the highest ethical and legal processes in our billing and collection for services rendered.  We are happy to review these two accounts with her in detail should she determine to return our calls from our billing department.
  
  
  Thank you. 

  Customer Answer

  Date: 02/12/2024

   
  Complaint: 21080936
  
  I am not (completely) rejecting this response because:

  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that we can work together for a resolution. I do understand the process with insurance companies and billing offices are complex. I have spoken to my insurance company many times and they tell me they can't get a hold of Coastal billing department for a better understanding. Being that this is a he said she said situation, I don't want to drag this out any longer. 
  As a patient this becomes extremely confusing on my end. I have multiple account numbers for office visits that are all related to the same situation, I feel I am being nickled and dimed. I spoke to ***** at Coastal on September 5,2023 regarding one of my balances owed and she told me that my account# **************** didn't exsist! This occured 2 different times. My insurance company provided a summary of my potientail amount owed and it was different than my bill. I called Coastal to understand what I owed and I was told nothing, only to learn the bill went into collections. It went into collections while Coastal and my insurance were reconcilling the patient's portion. I never recieved any calls from Coastal, I recieve emails and text messages reagrding balances owed. I have called coastal serval times and open spoke to someone on a few occasions. 

  
  I appreciate Coastal not charging me for my son ******* for a brokern ankle because we were self pay and I did pay that bill, in addition to that confusion, I was told that ******* was seen because of a car accident. He was never seen at Coastal for a car accident. So there shouldn't be a charge for him regarding a car accident. It was at that point I started to feel like something wasn't right. 

  Currently I am making payments on account # ****************. I have recieved a new bill with no credits made to the bill, and I have paid them $125 so far. I see the balance is less, but no credits are shown. 
  

  I would like to recieve from Coastal a complete list of credits and debits for my accounts. I would like to compare them to what I have and I hope everything matches up correctly. I would also consider a payoff amount for everything if I were to pay everything at once. 
  
  

  I do want to fix this and pay what I owe, I just want to make sure I am not paying more than I owe. 
  

  Sincerely,
  *************************************
  
  

  

  Business Response

  Date: 04/05/2024

  Please see attached detailed statement for yours and your son's charts.  You no longer have a balance due after the payment made on 3/4/24. 

• Initial Complaint

  Date:10/23/2023

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  They try to bill for ** pays over and over up to 9, 10 months later. Threaten yo ruin your credit over ** pays from Feb or Jan of 2023 its OCTOBER! RIPOff they charge your cc which is on file whenever they like

  

  Business Response

  Date: 11/02/2023

  Patients account has been reviewed and resolved.  Calls place to the individual to review the findings.  No response has been received from *********************  We would be happy to review the outcome with her when she calls us back as we are not able to discuss private information over a public forum.  Please ask her to call our offices at ************ and enter extension **** for the outcome of the inquiry.

   

  Thank you,   /*********************

• Initial Complaint

  Date:01/03/2023

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am a patient of Coastal Orthopedics. At the time of my appointment, (3/23/2022) I had ******** B and Florida Blue medical coverage. When Coastal Orthopedics submitted the claim for payment, ($513.), ******** B and Florida Blue denied payment due to an error by ********. ******** mistakenly neglected to note that my private insurance had expired on 3/11/2022 (United Healthcare) and ******** acknowledged they made a mistake. I was eligible for coverage by ******** and Florida Blue. The only recourse though was for Coastal Orthopedics to resubmit the claim. After several months, the issue was not resolved with all parties claiming they were waiting on each other for paperwork. In the meantime, on 8/12/2022, I needed to make an appointment to be seen by Coastal Orthopedics. An appointment could not be scheduled unless I paid part of the outstanding bill of $513. In order to secure an appointment, I was forced to pay $412. Since I was in pain, I paid $412 and was seen by the office on 8/16/2022.Coastal Orthopedics has acknowledged on several occasions since August 12th that I am due a refund of $412. from them. The most recent contact is a person named ****** who continues to escalate and again acknowledges that my request for a refund has been approved. Coastal Orthopedics has been holding onto my money for over 4 months and I have no faith that I will receive a refund any time soon. I do not know what other steps to take.Please note this complaint is in no way a reflection of the medical service provided. The office staff and medical personnel have provided excellent care and I would certainly continue to use their services. I only am asking for help in resolving the payment.Thank you.********************* Coastal Orthopedics Account Number ************************

  

  Business Response

  Date: 01/03/2023

  We have reached out to this patient and resolved her complaint to her satisfaction.  She said she would notify the BBB that this has been resolved.  

  Customer Answer

  Date: 01/03/2023

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  ********************************************

• Initial Complaint

  Date:08/16/2022

  Type:Sales and Advertising Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Took my daughter in for a foot injury. Always paid co-pay at the appt. In January I paid a bill in full for several hundred Dollars. We stopped going after it was paid and transferred her care to another Dr because this office was not giving her solutions. They keep sending me a bill and I request to receive DETAILED billing showing everything I paid, everything my insurance paid and everything they charged. Every month I get a new bill for a different amount. 6 mos later I am having the same issues and now they sent my account to collections for yet A DIFFERENT amount than all the bills I have. Every time I call they say they'll send me a new bill but refuse to reconcile or even fix it while Im on the phone. After complaining to several people I have found out this is normal practice for this office. They scam to get people to pay over and above what is agreed upon at the time of service. I have perfect credit and I should not have to have my credit score effected by their negative practices when they have yet to reconcile with me before submitting to debt collectors. This has been going on for 6 mos. My next step is to contact atty generals office and news agencies to look into the shady billing services of this company. I do not owe anything according to my records and I am disputing everything they sent since paid in full in January.

  

  Business Response

  Date: 08/30/2022

  Business Response /* (1000, 5, 2022/08/29) */ Thank you for the opportunity to review this case. Claims can be very confusing especially with regard to how charges are not what is adjudicated by the insurance carrier and every carrier has it's own set of rules and processes. Often communications are sent to the patient with different numbers as the carrier works through the claims process. This typically results in the patient receiving statements that show different amounts. We were able to confirm multiple calls from the patient to our billing company. Although there does appear to be some back and forth, we believe there is enough question to warrant a removal of the case from collections. Our billing office manager will be reaching out to the patient's family to review the account and make arrangements to resolve any further questions. Consumer Response /* (2000, 7, 2022/08/30) */ (The consumer indicated he/she ACCEPTED the response from the business.)